DR. THEODORE ERIC MACNOW MD
NPI 1760626832
Pediatrics - Pediatric Emergency Medicine in Worcester, MA
About Dr. Theodore Eric Macnow Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THEODORE ERIC MACNOW MD (NPI 1760626832) is an individual pediatric emergency medicine provider in Worcester, Massachusetts, licensed in Massachusetts (254522) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Theodore Eric Macnow Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theodore Macnow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WORCESTER, MA 01655
WORCESTER, MA 01655
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theodore Macnow's NPI number?
The NPI number for Theodore Macnow is 1760626832. It was assigned to this individual provider in the NPPES registry on April 20, 2009.
Where is Theodore Macnow located?
Theodore Macnow practices at 55 Lake Ave N Emergency Medicine Department, Worcester, MA 01655. The listed phone number is (774) 442-2599.
What is Theodore Macnow's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Theodore Macnow enrolled in Medicare?
Yes. Theodore Macnow is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theodore Macnow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Macnow reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Macnow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Macnow accept?
Health plans from Taro Health list Theodore Macnow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Theodore Macnow was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Theodore Eric Macnow, MD · NPI 1760626832
Pediatric Emergency Medicine physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since April 20, 2009.
## Identity
- **NPI:** 1760626832 (Entity type: Individual)
- **Enumerated:** April 20, 2009
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 254522 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, EMERGENCY MEDICINE DEPARTMENT, Worcester, MA 01655-0002
- **Phone:** (774) 442-2599 · **Fax:** (774) 442-2510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1760626832) · Data from the CMS NPPES public registry.